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placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811934548664321" itemCode="HBV-0-1-4-4"><a id="1463811934548664321_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811934548664321_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463811936360603650_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811936360603650" itemCode="CM-0-2-1-1"><a id="1463811936360603650_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811936360603650_Note"></span></div><div class="itemTR" id="1463811938315149313_Row" dic='[{"formItemId":1463811938315149313,"isDefault":0,"updateDate":1710291826000,"code":"M","id":1463812352464920577,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463811938315149313,"isDefault":0,"updateDate":1710291826000,"code":"F","id":1463812353152786433,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463811938315149313" itemCode="CM-0-2-1-2"></div><a id="1463811938315149313_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811938315149313_Note"></span></div><div class="itemTR" id="1463811940139671553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811940139671553" itemCode="CM-0-2-1-3"><a id="1463811940139671553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811940139671553_Note"></span></div><div class="itemTR" id="1463811942543007746_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811942543007746" itemCode="CM-0-2-1-5"><a id="1463811942543007746_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811942543007746_Note"></span></div><div class="itemTR" id="1463811944380112898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-0-2-1-4" class="itemDescTD">新生儿出生体重(g)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811944380112898" itemCode="HBV-0-2-1-4"><a id="1463811944380112898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811944380112898_Note"></span></div><div class="itemTR" id="1463811946724728833_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-0-2-1-5" class="itemDescTD">新生儿入院体重(g)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811946724728833" itemCode="HBV-0-2-1-5"><a id="1463811946724728833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811946724728833_Note"></span></div><div class="itemTR" id="1463811948582805506_Row" dic='[{"formItemId":1463811948582805506,"isDefault":0,"updateDate":1710291826000,"code":"UTD","id":1463812354503352322,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HBV-0-2-2-1" class="itemDescTD">末次月经日期是否无法确定或无记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463811948582805506" itemCode="HBV-0-2-2-1"></div><a id="1463811948582805506_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811948582805506_Note"></span></div><div class="itemTR" id="1463811950826758145_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>末次月经日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811950826758145" itemCode="HBV-0-2-2-2"><a id="1463811950826758145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811950826758145_Note"></span></div><div class="itemTR" id="1463811952647086081_Row" dic='[{"formItemId":1463811952647086081,"isDefault":0,"updateDate":1710291826000,"code":"UTD","id":1463812355849723906,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463811952647086081" itemCode="CM-0-2-3-1"></div><a id="1463811952647086081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811952647086081_Note"></span></div><div class="itemTR" id="1463811954446442497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811954446442497" itemCode="CM-0-2-3-2"><a id="1463811954446442497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811954446442497_Note"></span></div><div class="itemTR" id="1463811956270964737_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811956270964737" itemCode="CM-0-2-4-1"><a id="1463811956270964737_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811956270964737_Note"></span></div><div class="itemTR" id="1463811958108069889_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811958108069889" itemCode="CM-0-2-4-2"><a id="1463811958108069889_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811958108069889_Note"></span></div><div class="itemTR" id="1463811959957757953_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD">手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811959957757953" itemCode="CM-0-2-6-1"><a id="1463811959957757953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811959957757953_Note"></span></div><div class="itemTR" id="1463811961769697282_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD">手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811961769697282" itemCode="CM-0-2-6-2"><a id="1463811961769697282_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811961769697282_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463811963602608129_Row" dic='[{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812357204484097,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812357879767041,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812358571827201,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812359242915841,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"d","id":1463812359905615874,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"e","id":1463812360580898817,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"f","id":1463812361260376066,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"g","id":1463812361939853314,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"h","id":1463812362631913474,"indNo":9,"isActive":1,"desc":"其他社会保险（ 生育保险、工伤保险、农民工保险等）"},{"formItemId":1463811963602608129,"isDefault":0,"updateDate":1710291826000,"code":"i","id":1463812363311390721,"indNo":10,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>费用支付方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811963602608129" itemCode="CM-0-3-1"><a id="1463811963602608129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811963602608129_Note"></span></div><div class="itemTR" id="1463811965452296194_Row" dic='[{"formItemId":1463811965452296194,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812364687122434,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811965452296194,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812365496623105,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463811965452296194,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812366226432002,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463811965452296194,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812366897520642,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463811965452296194,"isDefault":0,"updateDate":1710291826000,"code":"d","id":1463812367572803585,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463811965452296194,"isDefault":0,"updateDate":1710291826000,"code":"e","id":1463812368248086530,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811965452296194" itemCode="CM-0-3-2"><a id="1463811965452296194_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811965452296194_Note"></span></div><div class="itemTR" id="1463811967301984257_Row" dic='[{"formItemId":1463811967301984257,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812369758035970,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811967301984257,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812370429124610,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463811967301984257,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812371104407553,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463811967301984257,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812371796467714,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463811967301984257,"isDefault":0,"updateDate":1710291826000,"code":"d","id":1463812372480139265,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811967301984257" itemCode="CM-0-3-3"><a id="1463811967301984257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811967301984257_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('HBV-1: HBV 母婴传播风险评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBV-1: HBV 母婴传播风险评估</div><div title="HBV-1: HBV 母婴传播风险评估"><p title="HBV 母婴传播风险评估" class="itemsubCat">HBV 母婴传播风险评估</p><div class="itemTR" id="1463811969332027394_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>孕周(周)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811969332027394" itemCode="HBV-1-1-1"><a id="1463811969332027394_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811969332027394_Note"></span></div><div class="itemTR" id="1463811971169132545_Row" dic='[{"formItemId":1463811971169132545,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812373813927937,"indNo":1,"isActive":1,"desc":"乙肝病毒表面抗原 (HBsAg)"},{"formItemId":1463811971169132545,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812374497599490,"indNo":2,"isActive":1,"desc":"乙肝病毒表面抗体(HBsAb)"},{"formItemId":1463811971169132545,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812375198048257,"indNo":3,"isActive":1,"desc":"乙肝病毒e 抗原(HBeAg)"},{"formItemId":1463811971169132545,"isDefault":0,"updateDate":1710291826000,"code":"d","id":1463812375881719810,"indNo":4,"isActive":1,"desc":"乙肝病毒e抗体(HBeAb)"},{"formItemId":1463811971169132545,"isDefault":0,"updateDate":1710291826000,"code":"e","id":1463812376548614145,"indNo":5,"isActive":1,"desc":"乙肝病毒核心抗体(HBcAb)"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙型肝炎病毒核酸(HBV-DNA) 检测选项</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463811971169132545" itemCode="HBV-1-1-2"></div><a id="1463811971169132545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811971169132545_Note"></span></div><div class="itemTR" id="1463811972985266177_Row" dic='[{"formItemId":1463811972985266177,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812377894985730,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811972985266177,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812378578657281,"indNo":2,"isActive":1,"desc":"定性检测"},{"formItemId":1463811972985266177,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812379270717441,"indNo":3,"isActive":1,"desc":"定量检测"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒表面抗原 (HBsAg)检测选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811972985266177" itemCode="HBV-1-1-3-1"><a id="1463811972985266177_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811972985266177_Note"></span></div><div class="itemTR" id="1463811974834954241_Row" dic='[{"formItemId":1463811974834954241,"isDefault":0,"updateDate":1710291826000,"code":"y","id":1463812380629671938,"indNo":1,"isActive":1,"desc":"阳性"},{"formItemId":1463811974834954241,"isDefault":0,"updateDate":1710291826000,"code":"n","id":1463812381334315010,"indNo":2,"isActive":1,"desc":"阴性"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒表面抗原 (HBsAg)定性检测选择</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463811974834954241" itemCode="HBV-1-1-3-2"></div><a id="1463811974834954241_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811974834954241_Note"></span></div><div class="itemTR" id="1463811976659476481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒表面抗原 (HBsAg)检测值(IU/ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811976659476481" itemCode="HBV-1-1-3-3"><a id="1463811976659476481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811976659476481_Note"></span></div><div class="itemTR" id="1463811978504970241_Row" dic='[{"formItemId":1463811978504970241,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812382668103682,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811978504970241,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812383351775234,"indNo":2,"isActive":1,"desc":"定性检测"},{"formItemId":1463811978504970241,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812384018669569,"indNo":3,"isActive":1,"desc":"定量检测"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒表面抗体(HBsAb)检测选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811978504970241" itemCode="HBV-1-1-4-1"><a id="1463811978504970241_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811978504970241_Note"></span></div><div class="itemTR" id="1463811980342075393_Row" dic='[{"formItemId":1463811980342075393,"isDefault":0,"updateDate":1710291826000,"code":"y","id":1463812385360846850,"indNo":1,"isActive":1,"desc":"阳性"},{"formItemId":1463811980342075393,"isDefault":0,"updateDate":1710291826000,"code":"n","id":1463812386103238658,"indNo":2,"isActive":1,"desc":"阴性"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒表面抗体(HBsAb)定性检测选择</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463811980342075393" itemCode="HBV-1-1-4-2"></div><a id="1463811980342075393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811980342075393_Note"></span></div><div class="itemTR" id="1463811982170791938_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒表面抗体(HBsAb)检测值(IU/ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811982170791938" itemCode="HBV-1-1-4-3"><a id="1463811982170791938_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811982170791938_Note"></span></div><div class="itemTR" id="1463811984075005954_Row" dic='[{"formItemId":1463811984075005954,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812387457998849,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811984075005954,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812388120698882,"indNo":2,"isActive":1,"desc":"定性检测"},{"formItemId":1463811984075005954,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812388812759042,"indNo":3,"isActive":1,"desc":"定量检测"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒e 抗原(HBeAg)检测选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811984075005954" itemCode="HBV-1-1-5-1"><a id="1463811984075005954_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811984075005954_Note"></span></div><div class="itemTR" id="1463811985899528193_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒e 抗原(HBeAg)检测值(IU/ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811985899528193" itemCode="HBV-1-1-5-3"><a id="1463811985899528193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811985899528193_Note"></span></div><div class="itemTR" id="1463811987719856130_Row" dic='[{"formItemId":1463811987719856130,"isDefault":0,"updateDate":1710291826000,"code":"y","id":1463812390180102146,"indNo":1,"isActive":1,"desc":"阳性"},{"formItemId":1463811987719856130,"isDefault":0,"updateDate":1710291826000,"code":"n","id":1463812390855385089,"indNo":2,"isActive":1,"desc":"阴性"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒e 抗原(HBeAg)定性检测选择</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463811987719856130" itemCode="HBV-1-1-5-2"></div><a id="1463811987719856130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811987719856130_Note"></span></div><div class="itemTR" id="1463811989548572674_Row" dic='[{"formItemId":1463811989548572674,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812392201756673,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811989548572674,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812392893816834,"indNo":2,"isActive":1,"desc":"定性检测"},{"formItemId":1463811989548572674,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812393602654210,"indNo":3,"isActive":1,"desc":"定量检测"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒e抗体(HBeAb)检测选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811989548572674" itemCode="HBV-1-1-6-1"><a id="1463811989548572674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811989548572674_Note"></span></div><div class="itemTR" id="1463811991368900609_Row" dic='[{"formItemId":1463811991368900609,"isDefault":0,"updateDate":1710291826000,"code":"y","id":1463812394986774530,"indNo":1,"isActive":1,"desc":"阳性"},{"formItemId":1463811991368900609,"isDefault":0,"updateDate":1710291826000,"code":"n","id":1463812395662057473,"indNo":2,"isActive":1,"desc":"阴性"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒e抗体(HBeAb)定性检测选择</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463811991368900609" itemCode="HBV-1-1-6-2"></div><a id="1463811991368900609_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811991368900609_Note"></span></div><div class="itemTR" id="1463811994258776065_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒e抗体(HBeAb)检测值(IU/ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811994258776065" itemCode="HBV-1-1-6-3"><a id="1463811994258776065_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811994258776065_Note"></span></div><div class="itemTR" id="1463811996062326785_Row" dic='[{"formItemId":1463811996062326785,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812397012623362,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463811996062326785,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812397704683521,"indNo":2,"isActive":1,"desc":"定性检测"},{"formItemId":1463811996062326785,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812398484824065,"indNo":3,"isActive":1,"desc":"定量检测"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-7-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒核心抗体(HBcAb)检测选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811996062326785" itemCode="HBV-1-1-7-1"><a id="1463811996062326785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811996062326785_Note"></span></div><div class="itemTR" id="1463811998016872449_Row" dic='[{"formItemId":1463811998016872449,"isDefault":0,"updateDate":1710291826000,"code":"y","id":1463812399835389953,"indNo":1,"isActive":1,"desc":"阳性"},{"formItemId":1463811998016872449,"isDefault":0,"updateDate":1710291826000,"code":"n","id":1463812400573587457,"indNo":2,"isActive":1,"desc":"阴性"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-7-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒核心抗体(HBcAb)定性检测选择</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463811998016872449" itemCode="HBV-1-1-7-2"></div><a id="1463811998016872449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811998016872449_Note"></span></div><div class="itemTR" id="1463811999820423169_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-7-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>乙肝病毒核心抗体(HBcAb)检测值(IU/ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463811999820423169" itemCode="HBV-1-1-7-3"><a id="1463811999820423169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463811999820423169_Note"></span></div><div class="itemTR" id="1463812001649139714_Row" dic='[{"formItemId":1463812001649139714,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812401915764737,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812001649139714,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812402570076162,"indNo":2,"isActive":1,"desc":"高风险：HBV-DNA＞1*10⁶IU/mL"},{"formItemId":1463812001649139714,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812403236970498,"indNo":3,"isActive":1,"desc":"低风险：HBV-DNA＞1*10³-⁴IU/mL"},{"formItemId":1463812001649139714,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812403903864833,"indNo":4,"isActive":1,"desc":"极低风险：HBV-DNA＜1*10³-⁴IU/mL"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-3" class="itemDescTD">乙肝病毒含量检测和风险评估</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812001649139714" itemCode="HBV-1-1-3"><a id="1463812001649139714_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812001649139714_Note"></span></div><div class="itemTR" id="1463812003477856257_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>丙氨酸氨基转移酶（ALT）水平检测值(U/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812003477856257" itemCode="HBV-1-1-4"><a id="1463812003477856257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812003477856257_Note"></span></div><div class="itemTR" id="1463812005306572801_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-1-5" class="itemDescTD">肝癌的肿瘤标志物甲胎蛋白(AFP) 检测值(ng/ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812005306572801" itemCode="HBV-1-1-5"><a id="1463812005306572801_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812005306572801_Note"></span></div><div class="itemTR" id="1463812007105929217_Row" dic='[{"formItemId":1463812007105929217,"isDefault":0,"updateDate":1710291826000,"code":"a","matchRule":"","updateUser":"admin","id":1463812405250236418,"indNo":1,"isActive":1,"keyword":"","desc":"腹水"},{"formItemId":1463812007105929217,"isDefault":0,"updateDate":1710291826000,"code":"b","matchRule":"","updateUser":"admin","id":1463812405925519361,"indNo":2,"isActive":1,"keyword":"肝硬","desc":"肝硬变"},{"formItemId":1463812007105929217,"isDefault":0,"updateDate":1710291826000,"code":"c","matchRule":"","updateUser":"admin","id":1463812406584025089,"indNo":3,"isActive":1,"keyword":"肝损害","desc":"弥漫性肝损害"},{"formItemId":1463812007105929217,"isDefault":0,"updateDate":1710291826000,"code":"d","matchRule":"","updateUser":"admin","id":1463812407246725122,"indNo":4,"isActive":1,"keyword":"","desc":"无阳性发现"},{"formItemId":1463812007105929217,"isDefault":0,"updateDate":1710291826000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463812407922008066,"indNo":5,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>上腹部超声</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463812007105929217" itemCode="HBV-1-1-6"></div><a id="1463812007105929217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812007105929217_Note"></span></div><div class="itemTR" id="1463812008913674241_Row" dic='[{"formItemId":1463812008913674241,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812409259991042,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812008913674241,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812409947856898,"indNo":2,"isActive":1,"desc":"A级:5-6分 手术危险度小，预后最好，1~2年存活率100%~85%"},{"formItemId":1463812008913674241,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812410610556929,"indNo":3,"isActive":1,"desc":"B级:7-9分 手术危险度中等，1~2年存活率80%~60%"},{"formItemId":1463812008913674241,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812411273256962,"indNo":4,"isActive":1,"desc":"C级:≥10分 手术危险度较大，预后最差，1~2年存活率45%~35%"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-7" class="itemDescTD">肝脏储备功能量化评估(Child-Pugh分级)结果分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812008913674241" itemCode="HBV-1-1-7"><a id="1463812008913674241_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812008913674241_Note"></span></div><div class="itemTR" id="1463812010759168001_Row" dic='[{"formItemId":1463812010759168001,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812412623822849,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812010759168001,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812413299105793,"indNo":2,"isActive":1,"desc":"肝功能正常、无内科并发症的HBV感染孕妇"},{"formItemId":1463812010759168001,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812413966000129,"indNo":3,"isActive":1,"desc":"肝功能轻中度异常、无内科并发症的HBV感染孕妇"},{"formItemId":1463812010759168001,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812414653865986,"indNo":4,"isActive":1,"desc":"若肝功能持续异常，应充分评估肝脏功能及肝脏储备功能量化评估(Child-Pugh分级)"},{"formItemId":1463812010759168001,"isDefault":0,"updateDate":1710291826000,"code":"d","id":1463812415341731842,"indNo":5,"isActive":1,"desc":"代偿期及失代偿期肝硬化患者，应充分评估肝脏功能及 Child-Pugh 分级"}]'><div style="display:inline-block;width:35%;" title="HBV-1-1-8" class="itemDescTD">母婴传播风险评估</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812010759168001" itemCode="HBV-1-1-8"><a id="1463812010759168001_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812010759168001_Note"></span></div><p title="分娩方式选择与评估" class="itemsubCat">分娩方式选择与评估</p><div class="itemTR" id="1463812012562718722_Row" dic='[{"formItemId":1463812012562718722,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812416704880642,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812012562718722,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812417380163585,"indNo":2,"isActive":1,"desc":"肝功能正常、无内科并发症HBV感染孕妇，建议根据产科情况决定分娩方式"},{"formItemId":1463812012562718722,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812418059640834,"indNo":3,"isActive":1,"desc":"肝功能轻中度异常、无内科并发症的HBV感染孕妇，若经过保肝治疗肝功能正常且无产科禁忌证者可经阴道试产；若肝功能持续异常，应充分评估肝脏功能及 Child-Pugh 分级，适时剖宫产结束分娩。"},{"formItemId":1463812012562718722,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812418726535170,"indNo":4,"isActive":1,"desc":"代偿期及失代偿期肝硬化患者，应充分评估肝脏功能及 Child-Pugh 分级，决定剖宫产手术时机，建议孕 33~35 周结束分娩 。"},{"formItemId":1463812012562718722,"isDefault":0,"updateDate":1710291826000,"code":"oth","id":1463812419464732674,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1463812012562718722,"isDefault":0,"updateDate":1710291826000,"code":"UTD","id":1463812420173570050,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HBV-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>分娩方式的评估</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812012562718722" itemCode="HBV-1-2-1"><a id="1463812012562718722_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812012562718722_Note"></span></div><div class="itemTR" id="1463812014395629569_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>分娩方式其他评估</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812014395629569" itemCode="HBV-1-2-1-1"><a id="1463812014395629569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812014395629569_Note"></span></div><div class="itemTR" id="1463812016194985986_Row" dic='[{"formItemId":1463812016194985986,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812421524135938,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812016194985986,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812422245556225,"indNo":2,"isActive":1,"desc":"陰道分娩"},{"formItemId":1463812016194985986,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812422904061953,"indNo":3,"isActive":1,"desc":"急诊剖宫产手术"},{"formItemId":1463812016194985986,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812423646453761,"indNo":4,"isActive":1,"desc":"择期剖宫产术"}]'><div style="display:inline-block;width:35%;" title="HBV-1-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>分娩方式的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812016194985986" itemCode="HBV-1-2-2"><a id="1463812016194985986_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812016194985986_Note"></span></div><div class="itemTR" id="1463812018040479745_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>胎儿娩出日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812018040479745" itemCode="HBV-1-2-3"><a id="1463812018040479745_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812018040479745_Note"></span></div><p title="新生儿Apgar评分" class="itemsubCat">新生儿Apgar评分</p><div class="itemTR" id="1463812019927916545_Row" dic='[{"formItemId":1463812019927916545,"isDefault":1,"updateDate":1710291826000,"code":"y","matchRule":"","updateUser":"admin","id":1463812424984436738,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463812019927916545,"isDefault":0,"updateDate":1710291826000,"code":"n","matchRule":"","updateUser":"admin","id":1463812425659719682,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBV-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施新生儿Apgar评分</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463812019927916545" itemCode="HBV-1-3-1"></div><a id="1463812019927916545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812019927916545_Note"></span></div><div class="itemTR" id="1463812021823741954_Row" dic='[{"formItemId":1463812021823741954,"isDefault":1,"updateDate":1710291826000,"code":"a","matchRule":"","updateUser":"admin","id":1463812427001896962,"indNo":1,"isActive":1,"keyword":"","desc":"出生后1min Apgar评分"},{"formItemId":1463812021823741954,"isDefault":1,"updateDate":1710291826000,"code":"b","matchRule":"","updateUser":"admin","id":1463812427656208385,"indNo":2,"isActive":1,"keyword":"","desc":"出生后5min Apgar评分"},{"formItemId":1463812021823741954,"isDefault":1,"updateDate":1710291826000,"code":"c","matchRule":"","updateUser":"admin","id":1463812428327297026,"indNo":3,"isActive":1,"keyword":"","desc":"出生后10min Apgar评分"},{"formItemId":1463812021823741954,"isDefault":0,"updateDate":1710291826000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463812429015162881,"indNo":4,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HBV-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>新生儿出生后1min、5min、10min,Apgar评分选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463812021823741954" itemCode="HBV-1-3-2"></div><a id="1463812021823741954_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812021823741954_Note"></span></div><div class="itemTR" id="1463812023652458497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后1min Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812023652458497" itemCode="HBV-1-3-2-1"><a id="1463812023652458497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812023652458497_Note"></span></div><div class="itemTR" id="1463812025476980738_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-3-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后5min Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812025476980738" itemCode="HBV-1-3-2-2"><a id="1463812025476980738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812025476980738_Note"></span></div><div class="itemTR" id="1463812027280531457_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-1-3-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生后10min Apgar评分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812027280531457" itemCode="HBV-1-3-2-3"><a id="1463812027280531457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812027280531457_Note"></span></div><p title="分娩并发症" class="itemsubCat">分娩并发症</p><div class="itemTR" id="1463812029088276482_Row" dic='[{"formItemId":1463812029088276482,"isDefault":0,"updateDate":1710291826000,"code":"y","matchRule":"","updateUser":"admin","id":1463812430378311681,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463812029088276482,"isDefault":1,"updateDate":1710291826000,"code":"n","matchRule":"","updateUser":"admin","id":1463812431053594626,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBV-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>分娩是否有并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463812029088276482" itemCode="HBV-1-4-1"></div><a id="1463812029088276482_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812029088276482_Note"></span></div><div class="itemTR" id="1463812030933770242_Row" dic='[{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812432395771906,"indNo":1,"isActive":1,"desc":"产后出血"},{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812433062666242,"indNo":2,"isActive":1,"desc":"产褥期感染"},{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812433721171969,"indNo":3,"isActive":1,"desc":"产科栓塞"},{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"d","id":1463812434404843521,"indNo":4,"isActive":1,"desc":"静脉栓塞病"},{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"e","id":1463812435075932161,"indNo":5,"isActive":1,"desc":"胎盘和胎膜滞留不伴有出血"},{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"f","id":1463812435738632194,"indNo":6,"isActive":1,"desc":"产科手术伤口的感染"},{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"g","id":1463812436409720833,"indNo":7,"isActive":1,"desc":"产科伤口裂开"},{"formItemId":1463812030933770242,"isDefault":0,"updateDate":1710291826000,"code":"h","id":1463812437085003777,"indNo":8,"isActive":1,"desc":"其他并发症"}]'><div style="display:inline-block;width:35%;" title="HBV-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>分娩并发症ICD.10编码选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463812030933770242" itemCode="HBV-1-4-2"></div><a id="1463812030933770242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812030933770242_Note"></span></div><div class="itemTR" id="1463812032754098177_Row" dic='[{"formItemId":1463812032754098177,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812438485901313,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812032754098177,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812439182155777,"indNo":2,"isActive":1,"desc":"O72.0 第三产程出血"},{"formItemId":1463812032754098177,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812439853244417,"indNo":3,"isActive":1,"desc":"O72.1 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style="display:inline-block;width:35%;" title="HBV-1-4-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他产褥期感染</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812036520583169" itemCode="HBV-1-4-2-3"><a id="1463812036520583169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812036520583169_Note"></span></div><div class="itemTR" id="1463812038332522497_Row" dic='[{"formItemId":1463812038332522497,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812446127923202,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812038332522497,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812446803206145,"indNo":2,"isActive":1,"desc":"O88.0 产科空气栓塞"},{"formItemId":1463812038332522497,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812447491072002,"indNo":3,"isActive":1,"desc":"O88.1 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id="1463812040152850433_Row" dic='[{"formItemId":1463812040152850433,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812451144310785,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812040152850433,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812451827982338,"indNo":2,"isActive":1,"desc":"O22.3 妊娠期深静脉血栓形成"}]'><div style="display:inline-block;width:35%;" title="HBV-1-4-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>静脉栓塞病</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812040152850433" itemCode="HBV-1-4-2-5"><a id="1463812040152850433_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812040152850433_Note"></span></div><div class="itemTR" id="1463812042019315713_Row" dic='[{"formItemId":1463812042019315713,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812453157576706,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812042019315713,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812453849636866,"indNo":2,"isActive":1,"desc":"O73.0 胎盘滞留不伴有出血"},{"formItemId":1463812042019315713,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812454524919810,"indNo":3,"isActive":1,"desc":"O73.1 部分胎盘和胎膜滞留不伴有出血"}]'><div style="display:inline-block;width:35%;" title="HBV-1-4-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>胎盘和胎膜滞留不伴有出血</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812042019315713" itemCode="HBV-1-4-2-6"><a id="1463812042019315713_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812042019315713_Note"></span></div><div class="itemTR" id="1463812043982249985_Row" dic='[{"formItemId":1463812043982249985,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812455879680002,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812043982249985,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812456542380033,"indNo":2,"isActive":1,"desc":"O86.0 产科手术伤口的感染"}]'><div style="display:inline-block;width:35%;" title="HBV-1-4-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>产科手术伤口的感染</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812043982249985" itemCode="HBV-1-4-2-7"><a id="1463812043982249985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812043982249985_Note"></span></div><div class="itemTR" id="1463812045781606402_Row" dic='[{"formItemId":1463812045781606402,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812458488537089,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812045781606402,"isDefault":0,"updateDate":1710291826000,"code":"a","id":1463812459168014337,"indNo":2,"isActive":1,"desc":"O90.0 剖宫产术的伤口破裂"},{"formItemId":1463812045781606402,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812459860074497,"indNo":3,"isActive":1,"desc":"O90.1 会阴产科的伤口破裂"},{"formItemId":1463812045781606402,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812460531163137,"indNo":4,"isActive":1,"desc":"O90.2 会阴产科的伤口血肿"},{"formItemId":1463812045781606402,"isDefault":0,"updateDate":1710291826000,"code":"d","id":1463812461390995457,"indNo":5,"isActive":1,"desc":"O70.2 分娩时Ⅲ度会阴裂伤"},{"formItemId":1463812045781606402,"isDefault":0,"updateDate":1710291826000,"code":"e","id":1463812462083055618,"indNo":6,"isActive":1,"desc":"O70.3 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否新生儿先天性畸形、变形和染色体异常</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463812069429092354" itemCode="HBV-1-5-3"></div><a id="1463812069429092354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812069429092354_Note"></span></div><div class="itemTR" id="1463812071308140545_Row" 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title="HBV-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院后抗病毒治疗起始日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812084369203201" itemCode="HBV-2-3-2"><a id="1463812084369203201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812084369203201_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('HBV-3: 预防母婴传播的干预措施')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBV-3: 预防母婴传播的干预措施</div><div title="HBV-3: 预防母婴传播的干预措施"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463812087745617922_Row" 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id="1463812102635397121_Row" dic='[{"formItemId":1463812102635397121,"isDefault":0,"updateDate":1710291826000,"code":"UTD","id":1463812576453337089,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463812102635397121,"isDefault":0,"updateDate":1710291826000,"code":"y","id":1463812577128620034,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463812102635397121,"isDefault":0,"updateDate":1710291826000,"code":"n","id":1463812577820680193,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBV-4-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有推送至"县、市"免疫规划信息系统</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812102635397121" itemCode="HBV-4-3-2"><a id="1463812102635397121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812102635397121_Note"></span></div></div><div class="itemCat" id="Title5" 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id="1463812104422170625_Note"></span></div><div class="itemTR" id="1463812106255081473_Row" dic='[{"formItemId":1463812106255081473,"isDefault":0,"updateDate":1710291826000,"code":"def","matchRule":"","updateUser":"admin","id":1463812581524250625,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463812106255081473,"isDefault":1,"updateDate":1710291826000,"code":"a","matchRule":"","updateUser":"admin","id":1463812582195339265,"indNo":2,"isActive":1,"keyword":"","desc":"无母乳喂养禁忌症"},{"formItemId":1463812106255081473,"isDefault":0,"updateDate":1710291826000,"code":"b","matchRule":"","updateUser":"admin","id":1463812583017422849,"indNo":3,"isActive":1,"keyword":"","desc":"母亲HBeAg阳性且 HBV DNA≥10⁶IU/ml，应告知母乳喂养可能存在一定风险，如患者选择母乳喂养建议定期监测新生儿抗-HBs 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style="display:inline-block;width:35%;" title="HBV-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>母乳喂养禁忌症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812106255081473" itemCode="HBV-5-1-2"><a id="1463812106255081473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812106255081473_Note"></span></div><div class="itemTR" id="1463812108079603714_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-5-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>不适宜母乳喂养的其他疾病</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812108079603714" itemCode="HBV-5-1-2-1"><a id="1463812108079603714_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812108079603714_Note"></span></div><div class="itemTR" id="1463812109937680386_Row" dic='[{"formItemId":1463812109937680386,"isDefault":0,"updateDate":1710291826000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463812588377743361,"indNo":1,"isActive":1,"keyword":"","desc":"不确定"},{"formItemId":1463812109937680386,"isDefault":1,"updateDate":1710291826000,"code":"y","matchRule":"","updateUser":"admin","id":1463812589061414913,"indNo":2,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463812109937680386,"isDefault":0,"updateDate":1710291826000,"code":"n","matchRule":"","updateUser":"admin","id":1463812589732503553,"indNo":3,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HBV-5-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否提供母乳喂养</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812109937680386" itemCode="HBV-5-1-3"><a id="1463812109937680386_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812109937680386_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('HBV-6: 住院期间为患者提供分娩前、分娩后健康教育与出院时提供母婴阻断措施告知情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBV-6: 住院期间为患者提供分娩前、分娩后健康教育与出院时提供母婴阻断措施告知情况</div><div title="HBV-6: 住院期间为患者提供分娩前、分娩后健康教育与出院时提供母婴阻断措施告知情况"><p title="HBV 感染女性产后复查及所生新生儿的随访" class="itemsubCat">HBV 感染女性产后复查及所生新生儿的随访</p><div class="itemTR" id="1463812111737036802_Row" dic='[{"formItemId":1463812111737036802,"isDefault":1,"updateDate":1710291826000,"code":"a","matchRule":"","updateUser":"admin","id":1463812591078875138,"indNo":1,"isActive":1,"keyword":"","desc":"孕期未使用抗病毒药物但肝功能异常者，应密切监测肝功能；肝功能正常者应于产后1至3个月复查肝功能、HBV DNA 及 HBV 血清学标志物等，出现异常应建议其立即于肝病科就诊。如肝功能正常，每3个月复查1次，至产后6月"},{"formItemId":1463812111737036802,"isDefault":1,"updateDate":1710291826000,"code":"b","matchRule":"","updateUser":"admin","id":1463812591741575169,"indNo":2,"isActive":1,"keyword":"","desc":"孕晚期服用 LAM、LdT 或 TDF 实施母婴阻断的产妇，产后 42 天～3 个月复查肝功能及 HBV 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id="1463812111737036802" itemCode="HBV-6-1-1"></div><a id="1463812111737036802_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812111737036802_Note"></span></div><div class="itemTR" id="1463812113544781826_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-6-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>感染女性产后复查告知的其他事项</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812113544781826" itemCode="HBV-6-1-1-1"><a id="1463812113544781826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812113544781826_Note"></span></div><div class="itemTR" id="1463812115537076226_Row" 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>HBV感染孕妇所生新生儿的随访</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463812115537076226" itemCode="HBV-6-1-2"></div><a id="1463812115537076226_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812115537076226_Note"></span></div><div class="itemTR" id="1463812118477283330_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HBV-6-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>感染孕妇所生新生儿随访告知的其他事项</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812118477283330" itemCode="HBV-6-1-2-1"><a id="1463812118477283330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812118477283330_Note"></span></div><p title="履行出院知情告知" class="itemsubCat">履行出院知情告知</p><div class="itemTR" 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style="display:inline-block;width:35%;" title="CM-3-2" class="itemDescTD">使用含抗菌剂（三氯生）缝线</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812136873500673" itemCode="CM-3-2"><a id="1463812136873500673_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812136873500673_Note"></span></div><div class="itemTR" id="1463812138664468482_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他含抗菌剂缝线填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812138664468482" itemCode="CM-3-2-1"><a id="1463812138664468482_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812138664468482_Note"></span></div><p title="切口愈合" class="itemsubCat">切口愈合</p><div 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title="CM-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术切口类别的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812140480602114" itemCode="CM-3-3"><a id="1463812140480602114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812140480602114_Note"></span></div><div class="itemTR" id="1463812142644862977_Row" 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style="display:inline-block;width:35%;" title="CM-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术切口愈合情况的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812142644862977" itemCode="CM-3-4"><a id="1463812142644862977_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812142644862977_Note"></span></div></div><div class="itemCat" id="Title8" onclick="objScreen.toggle('HBV-8: 产妇对服务的体验与评价')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBV-8: 产妇对服务的体验与评价</div><div title="HBV-8: 产妇对服务的体验与评价"><p title="出院时实施患者对服务的体验与评价" class="itemsubCat">出院时实施患者对服务的体验与评价</p><div class="itemTR" id="1463812145916420098_Row" 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dic='[{"formItemId":1463812147912908801,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812657759920129,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812147912908801,"isDefault":1,"updateDate":1710291826000,"code":"a","updateUser":"batch","id":1463812658431008769,"indNo":2,"isActive":1,"desc":"患者给医院整体评分9或10分"},{"formItemId":1463812147912908801,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812660100341762,"indNo":3,"isActive":1,"desc":"患者给医院整体评分7或8分"},{"formItemId":1463812147912908801,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812660775624705,"indNo":4,"isActive":1,"desc":"患者给医院整体评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>整体医院评级</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812147912908801" itemCode="CM-5-2-1"><a id="1463812147912908801_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812147912908801_Note"></span></div><div class="itemTR" id="1463812150748258306_Row" dic='[{"formItemId":1463812150748258306,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812662113607681,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812150748258306,"isDefault":1,"updateDate":1710291826000,"code":"a","updateUser":"batch","id":1463812662784696322,"indNo":2,"isActive":1,"desc":"说是的患者，他们肯定会给家人和朋友推荐这家医院"},{"formItemId":1463812150748258306,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812663447396353,"indNo":3,"isActive":1,"desc":"说是的患者，他们可能会给家人和朋友推荐这家医院"},{"formItemId":1463812150748258306,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812664110096386,"indNo":4,"isActive":1,"desc":"说不的患者，他们可能或肯定不会给家人和朋友推荐这家医院"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-2" class="itemDescTD"><span name="isNeeded" 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style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812158377697281_Note"></span></div><div class="itemTR" id="1463812160277716993_Row" dic='[{"formItemId":1463812160277716993,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812675921256449,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812160277716993,"isDefault":1,"updateDate":1710291826000,"code":"a","updateUser":"batch","id":1463812676596539393,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463812160277716993,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812677271822337,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463812160277716993,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812677955493890,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812160277716993" itemCode="CM-5-2-7"><a id="1463812160277716993_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812160277716993_Note"></span></div><div class="itemTR" id="1463812162123210753_Row" 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class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812163918372866" itemCode="CM-5-2-9"><a id="1463812163918372866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812163918372866_Note"></span></div><div class="itemTR" id="1463812165721923585_Row" dic='[{"formItemId":1463812165721923585,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812686121803778,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812165721923585,"isDefault":1,"updateDate":1710291826000,"code":"a","updateUser":"batch","id":1463812686788698113,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463812165721923585,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812687451398146,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463812165721923585,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812688130875394,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812165721923585" itemCode="CM-5-2-10"><a id="1463812165721923585_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812165721923585_Note"></span></div><div class="itemTR" id="1463812167504502786_Row" dic='[{"formItemId":1463812167504502786,"isDefault":0,"updateDate":1710291826000,"code":"def","id":1463812689477246978,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463812167504502786,"isDefault":1,"updateDate":1710291826000,"code":"a","updateUser":"batch","id":1463812690148335617,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463812167504502786,"isDefault":0,"updateDate":1710291826000,"code":"b","id":1463812690819424258,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463812167504502786,"isDefault":0,"updateDate":1710291826000,"code":"c","id":1463812691482124290,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812167504502786" itemCode="CM-5-2-11"><a id="1463812167504502786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812167504502786_Note"></span></div></div><div class="itemCat" id="Title9" onclick="objScreen.toggle('HBV-9: 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HBV-9: 住院费用</div><div title="HBV-9: 住院费用"><p title="费用" class="itemsubCat">费用</p><div class="itemTR" id="1463812169324830721_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812169324830721" itemCode="CM-6-1"><a id="1463812169324830721_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812169324830721_Note"></span></div><div class="itemTR" id="1463812171119992833_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812171119992833" itemCode="CM-6-2"><a id="1463812171119992833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812171119992833_Note"></span></div><div class="itemTR" id="1463812172906766337_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812172906766337" itemCode="CM-6-3"><a id="1463812172906766337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812172906766337_Note"></span></div><div class="itemTR" id="1463812174735482881_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812174735482881" itemCode="CM-6-4"><a id="1463812174735482881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812174735482881_Note"></span></div><div class="itemTR" id="1463812176547422210_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812176547422210" itemCode="CM-6-5"><a id="1463812176547422210_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812176547422210_Note"></span></div><div class="itemTR" id="1463812178388721666_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812178388721666" itemCode="CM-6-6"><a id="1463812178388721666_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812178388721666_Note"></span></div><div class="itemTR" id="1463812180192272385_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812180192272385" itemCode="CM-6-7"><a id="1463812180192272385_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812180192272385_Note"></span></div><div class="itemTR" id="1463812182109069314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812182109069314" itemCode="CM-6-8"><a id="1463812182109069314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812182109069314_Note"></span></div><div class="itemTR" id="1463812183937785858_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812183937785858" itemCode="CM-6-9"><a id="1463812183937785858_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812183937785858_Note"></span></div><div class="itemTR" id="1463812185779085314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812185779085314" itemCode="CM-6-10"><a id="1463812185779085314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812185779085314_Note"></span></div><div class="itemTR" id="1463812187611996161_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812187611996161" itemCode="CM-6-11"><a id="1463812187611996161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812187611996161_Note"></span></div><div class="itemTR" id="1463812189423935490_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812189423935490" itemCode="CM-6-12"><a id="1463812189423935490_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812189423935490_Note"></span></div><div class="itemTR" id="1463812191273623553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812191273623553" itemCode="CM-6-13"><a id="1463812191273623553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812191273623553_Note"></span></div><div class="itemTR" id="1463812193119117314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812193119117314" itemCode="CM-6-14"><a id="1463812193119117314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812193119117314_Note"></span></div><div class="itemTR" id="1463812194935250946_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812194935250946" itemCode="CM-6-15"><a id="1463812194935250946_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812194935250946_Note"></span></div><div class="itemTR" id="1463812196742995969_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812196742995969" itemCode="CM-6-16"><a id="1463812196742995969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812196742995969_Note"></span></div><div class="itemTR" id="1463812198672375810_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812198672375810" itemCode="CM-6-17"><a id="1463812198672375810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812198672375810_Note"></span></div><div class="itemTR" id="1463812200509480962_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812200509480962" itemCode="CM-6-18"><a id="1463812200509480962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812200509480962_Note"></span></div><div class="itemTR" id="1463812202329808897_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812202329808897" itemCode="CM-6-19"><a id="1463812202329808897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812202329808897_Note"></span></div><div class="itemTR" id="1463812204150136834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812204150136834" itemCode="CM-6-20"><a id="1463812204150136834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812204150136834_Note"></span></div><div class="itemTR" id="1463812205966270465_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812205966270465" itemCode="CM-6-21"><a id="1463812205966270465_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812205966270465_Note"></span></div><div class="itemTR" id="1463812207794987010_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812207794987010" itemCode="CM-6-22"><a id="1463812207794987010_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812207794987010_Note"></span></div><div class="itemTR" id="1463812209615314946_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812209615314946" itemCode="CM-6-23"><a id="1463812209615314946_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812209615314946_Note"></span></div><div class="itemTR" id="1463812211460808706_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812211460808706" itemCode="CM-6-24"><a id="1463812211460808706_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812211460808706_Note"></span></div><div class="itemTR" id="1463812213293719554_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812213293719554" itemCode="CM-6-25"><a id="1463812213293719554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812213293719554_Note"></span></div><div class="itemTR" id="1463812215143407617_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812215143407617" itemCode="CM-6-26"><a id="1463812215143407617_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812215143407617_Note"></span></div><div class="itemTR" id="1463812216963735553_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812216963735553" itemCode="CM-6-27"><a id="1463812216963735553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812216963735553_Note"></span></div><div class="itemTR" id="1463812218872143874_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812218872143874" itemCode="CM-6-28"><a id="1463812218872143874_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812218872143874_Note"></span></div><div class="itemTR" id="1463812220688277505_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812220688277505" itemCode="CM-6-29"><a id="1463812220688277505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812220688277505_Note"></span></div><div class="itemTR" id="1463812222483439617_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463812222483439617" itemCode="CM-6-30"><a id="1463812222483439617_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463812222483439617_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>HBV-1: HBV 母婴传播风险评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>HBV-2: HBV 感染母亲抗病毒治疗情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>HBV-3: 预防母婴传播的干预措施</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>HBV-4: 婴儿联合免疫预防接种情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>HBV-5: 母乳喂养情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>HBV-6: 住院期间为患者提供分娩前、分娩后健康教育与出院时提供母婴阻断措施告知情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>HBV-7: 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>HBV-8: 产妇对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>HBV-9: 住院费用</a></li></ul></div>
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